Condition

Rectal prolapse

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Treated by Dr. Ravi Chandra Reddy Obili at Dr Ravi Chandra Reddy

Rectal prolapse happens when the rectum, the lower part of the large intestine, loses its normal attachments inside the body and slides out through the anal opening. This can range from a small amount of lining protruding during bowel movements to the entire thickness of the rectal wall coming out. Dr Ravi Chandra Reddy evaluates and manages rectal prolapse with approaches tailored to each patient's condition.

Treatable Early Detection Matters Multiple Options
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Rectal prolapse at Dr Ravi Chandra Reddy
Quick Facts

At a glance.

Clinical Overview
Progression TypeGradual
Diagnosis MethodClinical examination
Types

Types of rectal prolapse.

Partial (Mucosal) ProlapseComplete (Full-Thickness) ProlapseInternal Prolapse (Intussusception)

Partial (Mucosal) Prolapse

Only the inner lining of the rectum protrudes through the anus, usually during bowel movements or straining.

Complete (Full-Thickness) Prolapse

The entire wall of the rectum extends outside the body, which may happen with straining or even walking and standing.

Internal Prolapse (Intussusception)

The rectum folds inward on itself but does not come out through the anus, though it can cause similar symptoms and obstruction.

Causes

What causes rectal prolapse?

Multiple factors can contribute to the development and progression of this condition.

Weakening of pelvic floor muscles and ligaments, often from childbirth or ageing
Chronic straining during bowel movements due to constipation or diarrhoea
Previous injury or surgery to the pelvis or rectal area
Nerve damage affecting the muscles that control the rectum and anus
Symptoms

Signs to look out for.

Recognising the signs early gives you more treatment options.

Early StageMild discomfort
A feeling of incomplete bowel evacuation
Mucus discharge from the anus
Occasional awareness of tissue bulging during or after bowel movements
ModerateIncreasing impact
Visible protrusion of rectal tissue that may need to be pushed back in manually
Faecal incontinence or leakage of stool
Bleeding or irritation of the protruding tissue
AdvancedSignificant limitation
Persistent protrusion that cannot be reduced or stays out even at rest
Significant mucus and blood discharge
Pain, ulceration or damage to the exposed rectal tissue
Evaluation

How it's evaluated.

Assessment begins with your medical history and a physical examination, often including a digital rectal exam and inspection while you strain. Additional tests are ordered based on individual findings; not every patient requires all investigations.

Treatment

Treatment options available.

From conservative to surgical — we always start with the least invasive option first.

Dietary and Bowel Habit Modification
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Dietary and Bowel Habit Modification

  • High-fibre foods and adequate water intake
  • Stool softeners or fibre supplements as needed
  • Avoiding prolonged sitting on the toilet and excessive straining
Our Approach

How we handle this condition.

A structured, patient-first approach from first visit to full recovery.

Step 01

Detailed Clinical Assessment

Dr Ravi Chandra Reddy takes a thorough history of your symptoms, bowel habits, and any previous medical or surgical issues, followed by a careful physical examination to confirm the type and extent of prolapse.

Step 02

Tailored Investigation

Based on examination findings, appropriate tests such as defecography, colonoscopy, or anorectal studies are arranged to understand the prolapse mechanism and rule out other conditions.

Step 03

Treatment Planning

A treatment plan is developed together with you, starting with conservative measures where suitable and discussing surgical options when needed, with clear explanations of what each approach involves.

Step 04

Follow-Up and Support

After treatment, regular follow-up is provided to monitor recovery, address any concerns, and offer guidance on maintaining bowel health and pelvic floor strength.

Recovery

Recovery & aftercare.

What to expect at each phase of recovery.

Initial Recovery (Non-Surgical)Early Post-Operative PhaseLong-Term Recovery

Initial Recovery (Non-Surgical)

If managed conservatively, improvement in symptoms may take several weeks as dietary changes and exercises take effect. Individual response varies and ongoing adherence is important.

Early Post-Operative Phase

Following surgery, most patients spend a few days in hospital and gradually resume normal activities over several weeks. Pain, swelling, and changes in bowel pattern are common initially and managed with medication and dietary advice.

Long-Term Recovery

Full healing and return to usual function can take several weeks to months. Continued attention to bowel habits and pelvic floor health helps maintain results, though individual timelines vary.

Outcomes

Treatment outcomes.

Symptom Improvement

Good management aims to reduce or eliminate the prolapse, improve bowel control, and relieve discomfort, though results depend on the severity and type of prolapse.

Return of Normal Function

Many patients regain comfortable bowel function and confidence in daily activities, although some degree of ongoing bowel management may still be needed.

Recurrence Risk

Rectal prolapse can recur after treatment, especially if underlying factors such as chronic straining or pelvic floor weakness are not addressed. No treatment guarantees permanent resolution.

Persistent Symptoms

Some patients may continue to experience faecal incontinence or constipation even after successful repair, as these symptoms can have multiple contributing factors beyond the prolapse itself.

What happens if this is left untreated?

Without treatment, rectal prolapse typically worsens over time, with the tissue protruding more frequently and becoming harder to reduce. The exposed rectal lining may become damaged, bleed, or develop ulcers. Faecal incontinence and difficulty with bowel movements often increase, affecting quality of life and daily activities.

When should you see a doctor?

You should seek medical evaluation if you notice any tissue bulging from your anus, experience mucus or blood discharge, or have new or worsening problems with bowel control. Early assessment allows for simpler management and can prevent progression. If you have severe pain, significant bleeding, or tissue that cannot be pushed back in, seek prompt medical attention.

FAQ

About rectal prolapse.

Can rectal prolapse go away on its own?
Is surgery always needed for rectal prolapse?
What is the difference between rectal prolapse and haemorrhoids?
How long does recovery take after surgery for rectal prolapse?
Can rectal prolapse come back after treatment?
Related Care

Procedures we offer.

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Related resources.

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